ArticleBMJ open2023
Family functioning and patients' depressive symptoms: comparison in perceived family function between patients who had an acute ischaemic stroke and their primary family caregivers - a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- The Effectiveness of Family Health Conversations Delivered by Nurses: A Systematic Review.Journal of clinical nursing · 2026Pooled it
- Family functioning and NSSI urges among college students: a moderated chain mediation model.BMC psychology · 2026Article
- Psychological resilience and depressive symptoms among family caregivers of disabled people: the mediating role of caregiver burden and the moderating role of family functioning.Frontiers in psychology · 2026Article
- Exploring Changes in Family Functioning: A Qualitative Study of Patients with Rheumatoid Arthritis.Patient preference and adherence · 2026Article
- Family quality of life after brain injuries: a qualitative study on the perspectives of family members.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Influence of social support on the social adaptive behaviors of children with acute leukemia in China: the mediating role of family functioning.BMC pediatrics · 2025Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to compare perceived family functioning between Chinese patients who had an acute ischaemic stroke (AIS) and family caregivers, and explore the association between family functioning and patients' depressive symptoms.
designThis is a cross-sectional study design.
settingStroke centres of two tertiary hospitals in Nanjing, China.
participantsOne hundred and sixty-nine dyads of patients who had an AIS and family caregivers. PRIMARY AND SECONDARY OUTCOME MEASURES: Family functioning of patients who had an AIS and their primary family caregivers was assessed by the Family Assessment Device (FAD, Chinese version). Depressive symptoms of patients who had an AIS was assessed by the Centre for Epidemiological Studies Depression Scale. We test the agreement and differences in family functioning. Multivariate linear regression models were used to test the association of differences of family functioning within dyads with patients' depressive symptoms.
resultsAIS families demonstrated unhealthy family functioning. A total of 115 patients (76.9%) and 124 caregivers (73.4%) had a score of 2 or higher in FAD-general functioning (GF), indicating unhealthy family functioning. The intraclass correlation coefficient of FAD subdomain between patients who had an AIS and caregivers ranged from 0.15 to 0.55, which indicating the agreement of family functioning within dyads was poor to moderate. There was a significant difference between the FAD-GF scores of the patients and those of their caregivers (
conclusionsThese findings indicate that healthcare professionals should assess family functioning in both patients who had a stroke and caregivers. Improvement of family function and decreasing discrepancies within dyads may be helpful for relieving patients' depressive symptoms.
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